Utah Medicaid Income Limits – 2021
The Medicaid Income Limit is the most important criteria for deciding whether you qualify for Medicaid in your state. In this post, we are going to explain in detail the Utah Medicaid Income Limits for 2021.
Based on this information, you will be able to determine whether your income qualifies you for Utah Medicaid or not.
However, before we get into details about the income limit, we will first explain the Medicaid program in Utah and how it works.
Next, we will discuss who is eligible for Medicaid, including how eligibility works for various categories, including Children, Pregnant Women, and Adults.
What is Medicaid?
Medicaid is a federal and state health insurance program for people with a low income.
It provides free or low-cost health coverage to millions of Americans, including families and children, pregnant women, the elderly, and people with disabilities.
The Children’s Health Insurance Program (CHIP) offers health coverage to children in families with incomes too high to qualify for Medicaid, but who can’t afford private coverage.
How Many People are on Medicaid?
According to the Centers for Medicare & Medicaid Services, as of November 2020, here are the number of people enrolled in Medicaid and Chip in the entire United States:
- 78,521,263 individuals were enrolled in Medicaid and CHIP
- 72,204,587 individuals were enrolled in Medicaid
- 6,695,834 individuals were enrolled in CHIP
The Utah Medicaid program provides medical coverage to low-income individuals and families.
As of 2020, the program, along with the Children’s Health Insurance Program (CHIP) covered 381,460 people.
This includes about 214,000 children as shown by the image below.
In Utah, the agency that administers the Medicaid program is the Utah Department of Health. Eligibility is determined by the Department of Workforce Services (DWS).
Who Can Get Medicaid in Utah?
You should apply for Medicaid if your income is low and you match one of the descriptions below:
- You think you are pregnant
- The parent or caretaker of a child and/or teenager under the age of 19.
- You are a child or teenager age 18 or under.
- An adult age 65 or older.
- You are legally blind.
- Living with a disability or disabled.
- You are in need of nursing home care.
Utah Medicaid Income Limit
The Utah Medicaid Income Limit is calculated as a percentage of the Federal Poverty Line.
To qualify, you must meet the Utah Medicaid Income limits listed below.
Here is the Federal Poverty Level (FPL) for 2021.
|2021 Federal Poverty Levels for the 48 Contiguous States & D.C.|
|Household Size||Poverty Guideline for 48 states & DC||Alaska||Hawaii|
|Over 8 people||add $4,540 for each additional person||$5,680||$5,220|
Additionally, to be eligible for Medicaid, you cannot make more than the income guidelines outlined below:
- Children up to age 1 with family income up to 139 percent of FPL
- Any child age 1-5 with a family income up to 139 percent of FPL
- Children ages 6- 18 with family income up to 139 percent of FPL
- CHIP for children with family income up to 200 percent of FPL
- Pregnant women with family income up to 139 percent of FPL
- Parents of minor children with family income up to 41 percent of FPL
- Individuals who are elderly, blind, and disabled with family income up to 100% of the FPL
- Adults without dependents under Medicaid expansion with income up to 133% of the FPL
Utah Medicaid Income Limit Charts
The Utah Medicaid eligibility income limit charts are divided by groups.
For example, the first chart is focused on income limits for children who qualify for Medicaid.
Similarly, the second chart below focuses on the Medicaid income limits for adults in Utah who qualify for Medicaid.
Utah Medicaid Income Limit for Children
Below is the income limit for children by age category. Find the age category your child falls into and you will see the income limit by household size.
|Utah Medicaid Income Limit – Children|
|Children Medicaid Ages 0-1||Children Medicaid Ages 1-5||Children Medicaid Ages 6-18||Children Separate CHIP|
Next is the income limit for adults by category. Find the category you fall into and you will see the income limit by household size.
Utah has expanded Medicaid to include adults without dependents.
Therefore, adults without dependents can apply for Medicaid in Utah.
For an update on the Medicaid expansion debate and timeline in Utah, see our Utah Expansion update below.
Utah Medicaid Income Limit for Adults
|Utah Medicaid Income Limit – Adults|
|Pregnant Women Medicaid||Adults (Medicaid) Parent/ Caretaker||Seniors & People w/ Disabilities (Medicaid)||Adults (Medicaid) Expansion to Adults|
How to Read the Utah Medicaid Income Limits Charts Above
You cannot have an income higher than the Federal Poverty Level percentage described for your group to be eligible for Medicaid.
Similarly, when you identify the income group that applies to you, the income limit you see refers to the maximum level of income you can earn to qualify for benefits.
For example, if you are pregnant, to qualify for Medicaid, you cannot have an income higher than 139% of the Federal Poverty Level – which for a family of two is $24,214 as shown in the chart above.
How to Apply for Utah Medicaid
There are 3 ways you can apply for Medicaid in Utah.
Option 1 – Apply online
You can apply online through the MyCase Utah Portal – as shown in the image below.
If you have an account, you can log in or create your MyCase Utah Account. Click here to be taken to the website.
Option 2 – Apply at DWS Office Near You
You can apply in person at the Utah Department of Workforce Services (DWS) office near you. Click here to locate a DWS office.
Option 3 – Download Application
You can download an application, complete it, and mail it to your county DWS office or submit it in person.
You can also mail the application or fax it using the information below:
Mail completed application to:
Department of Workforce Services
PO Box 143245
Salt Lake City, UT 84114-3245
Fax completed application to:
Department of Workforce Services
Toll-free Fax: 1-888-522-9505
Utah Medicaid Phone Number
Here’s how to contact the Utah Medicaid Agency:
For Medicaid Applicant & Member Services
In the Salt Lake City area, call (801) 538-6155.
In Utah, Idaho, Wyoming, Colorado, New Mexico, Arizona, and Nevada:
Call toll-free at 1-800-662-9651.
From other states, call 1-801-538-6155.
Medicaid Customer Service staff are available to take your calls: Monday through Friday, 8:00 a.m. – 5:00 p.m. (Thursday hours are 11:00 a.m. – 5:00 p.m.)
Closed on all state and federal holidays.
FAX Line: 1-801-538-6805
Utah Medicaid Expansion Update
In the state of Utah, partial expansion of Medicaid took effect in April 2019.
Additionally, full Medicaid expansion in Utah under the ACA took effect as of January 2020.
That is because Utah voters approved full Medicaid expansion in 2018, but Republican lawmakers added various restrictions.
Utah’s initial Medicaid expansion plan, which was approved by the Trump administration and took effect in April 2019, covered only people with income up to the poverty level.
Also, it allowed the state to cap enrollment and impose a work requirement.
It is estimated that between 70,000 to 90,000 people would gain Medicaid coverage as a result of the expansion.
Utah Medicaid Income Limits Summary
We hope this post on Utah Medicaid Income Limits was helpful to you.
If you have any questions about Medicaid in the state of Utah, you can ask us in the comments section below.
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